CHAPTER 5

THE EFFECT OF ALCOHOL AND OTHER DRUG ABUSE
IN THE DRIVER OF A MOTOR VEHICLE

Required amount of time to complete: Minimum of 40 minutes

Earlier in the program you were introduced to physical and mental problems associated with the use and abuse of alcohol and other drugs. In this chapter, you will become familiar with the effects alcohol and other drugs have on the ability of an individual to operate a motor vehicle in a safe and responsible manner.

The effect of alcohol and other drug abuse on the driver of a motor vehicle:

When you drive, your hands, eyes and feet control the vehicle, and your brain controls your hands, eyes and feet. To drive safely, you need to be alert, aware and able to make quick decisions in response to a rapidly changing environment.
Alcohol and other drugs alter the normal function of the brain and body, and interfere with even the most skilled and experienced driver’s ability to drive safely. While different drugs can have different effects on driving, any drug that slows you down speeds you up or changes the way you see things can affect your driving, too often with tragic consequences.

danger alcohol
judgement drinking

JUDGMENT:

Alcohol and other drugs affect your mental functions first, which means reason and caution are quickly reduced. Judgment is the first mental function affect by alcohol consumption.

Effects of alcohol on driving ability:

Alcohol blunts alertness and reduces motor co-ordination. People who drive after using alcohol can’t react as quickly when they need to. Their vision is affected, and may be blurred or doubled. Alcohol alters depth perception, making it hard to tell whether other vehicles, pedestrians, and objects are close or far away. Because alcohol affects judgment, people who drive after drinking may feel overconfident and not recognize that their driving skills are reduced. Their driving is more likely to be careless or reckless—weaving, speeding, driving off the road and, too often, crashing.

Alcohol is a depressant drug, which means it slows down your brain and body. Therefore, judgment is the first area of the body affected by alcohol consumption.
Young adults who consume alcohol or use other drugs and drive may be particularly at risk for being involved in a motor vehicle collision because they have less experience with driving, and are more likely to engage in risk-taking behavior.

Studies have found that people who have been convicted of impaired driving offences come from many different backgrounds, age and income groups. Such studies have also identified certain characteristics of people who consume alcohol and then drive.

drinking and driving

Looking at convicted drinking drivers, we see that:

Although alcohol affects coordination and balance, these abilities do not become obviously or significantly impaired unless alcohol levels are high. (This may not hold true for occasional or moderate drinkers.) However, alcohol does affect other areas very quickly.

The area most critical to driving, that is, the brain's ability to observe, interpret, and process information from the eyes and other senses is impaired by alcohol. A driver cannot operate a vehicle safely if:

With these kinds of central deficits, sooner or later a driver will fail to see something that is in the path of their vehicle, whether it is another vehicle, a pedestrian, a motorcycle, a bicyclist or a fixed object and a collision occurs. So, let’s examine these areas.

VISION

vision

The brain's control of the eyes is highly vulnerable to alcohol. Both the frequency of eye movements and the duration of each fixation, or "look," show significant changes with increasing BACs. Studies indicate that the proportion of looks directed to the center of the driving scene increased under the influence of alcohol and that an impaired driver’s peripheral vision is reduced.

As a result, subjects failed to see important peripheral events. Drivers seemed to narrow their visual field and directed fewer looks to the periphery.

Alcohol and other drugs impair a person’s ability to judge distance and depth perception, which are factors in determining the position of other vehicles on the road.

Alcohol and other drugs can dilate the pupil of the eyes, which slows down the reactions of the pupils resulting in problems with on-coming headlight (glare) and “blind” driving.

depth perception

Hearing:

Hearing may not be considered as important in driving, but hearing allows a driver to hear vehicle malfunctions and to take appropriate action before the malfunction can result in a crash. Alcohol and other drugs can reduce the ability to hear, muffling sounds and interfering with the ability to determine the direction of sounds.

Tracking:

Tracking, or steering, is a relatively difficult psychomotor task. The driver must maintain the vehicle within the lane limits and in the correct direction while monitoring the driving environment for other important information. Unlike simpler psychomotor skills, the ability to steer a vehicle is impaired at low BACs.

Attention/Concentration:

The ability to divide attention between two or more sources of visual information is a basic requirement of safe driving. Drivers must perform two major tasks: (1) maintain their vehicles in the proper lane and direction (a tracking task), and (2) monitor the driving environment for vital information such as vehicles, traffic signals, pedestrians, and other important events (a search and recognition task). Because these tasks must be performed concurrently, they require the division of attention.

Alcohol-impaired subjects who are required to divide their attention between two tasks tend to favor one task, resulting in larger performance decrements on the non- preferred task. Since maintaining a vehicle's correct position is a continuous demand, drivers tend to focus on steering whenever the ability to divide attention is limited.

Comprehension:

Alcohol and other drugs impair a driver’s ability to “interpret” driving situations, roadway signs, and/or signals, which a driver has to understand and/or respond to quickly in order to safely operate their vehicle.

Alcohol and other drugs affect the ability to understand driving situations, signs and signals. Alcohol and other drugs leave a driver easily confused and not able to respond to emergency situations or to comprehend the meaning of simple signals. Alcohol slows the rate of information processing by the brain. If there are two or more stimuli and if several responses are possible, response times lengthen significantly when impaired. More complex tasks are even more severely degraded by alcohol.

Reaction Time:

Reaction time is basically the time it takes to respond when a driver perceives an immediate hazard. The average reaction time of individuals in a lab setting is ¾ of a second. However, in actual driving the average reaction time is 1.5 seconds during daylight hours and 2.5 seconds at night. Alcohol and other drugs depress a driver’s ability to function and thereby increase reaction time and response time to emergency situations.

Resource: http://findarticles.com , http://www.samhsa.gov , www.nh-dwi.com

drugs

HOW DIFFERENT DRUGS AFFECT THE DRIVING TASK

MARIJUANA:

Marijuana in most people will cause euphoria and slowed thinking. It will increase reaction time, cause confusion and impair coordination. Marijuana may cause altered perceptions which will affect the distance and timing abilities of a driver and cause them to not recognize hazards or even perceive a hazard in the first place.

marijuana
stimulants STIMULANTS:

Stimulants give people an exaggerated feeling of energy. They may feel exhilarated and will probably have an irregular heartbeat which can lead to heart failure. Since stimulants give people a false sense of power, they may become over-confident in their driving abilities and take unnecessary risks.

AMPHETAMINES:

Amphetamines are a type of stimulant and they can cause hallucinations, tremors, loss of coordination; irritability, anxiousness, restlessness, delirium, panic, paranoia, impulsive behavior and aggressiveness. Amphetamines can affect a driver’s ability to correctly react in an emergency situation.

amphetamines
cocaine
cocaine
COCAINE:

Cocaine is another type of stimulant, but is mentioned separately because of its common us in the United States. Cocaine can cause respiratory failure, nausea, abdominal pain, strokes and seizures. Like all stimulants, cocaine can cause a driver to be over confident and take risks they normally might not take. Cocaine also affects a driver’s ability to concentrate. After the high of the cocaine wears off, a driver may become drowsy and fall asleep at the wheel.

HALLUCINOGENS:

Hallucinogens cause an altered state of perception leading the user to see and hear things that are not really there. Drivers may see vehicles or other objects that are not there or they may not be able to comprehend a dangerous hazard. Users may have flashbacks while driving causing them to react in a negative manner.

Hallucinogens may cause a distorted view of a hazard causing a driver not to respond correctly.

hallucinogens
psilocybin lsd

LSD (Lysergic Acid)
LSD is a hallucinogen which cause body temperatures to rise, heart rate and blood pressure to increase and may cause sleeplessness, numbness and weakness.

Psilocybin can cause nervousness and paranoia. Being paranoid while driving can be extremely dangerous.
All hallucinogens alter the state of mind, causing distortions in what a person may be seeing.

INHALANTS:
Fumes from paint, markers, nail polish, aerosol sprays, and gasoline are all examples of inhalants. Any chemical substance that can be breathed can be considered an inhalant. Breathing in the fumes of chemicals is sometimes called “huffing.” Inhalants tend to distort perception and impair an individual’s judgment much like alcohol. People using inhalants usually become dizzy or feel lightheaded and have poor coordination. Inhalants can cause hallucinations.

The use of inhalants is extremely dangerous. Users can permanently damage their brain, kidneys, and liver. The first time an individual uses an inhalant could be their last, as certain inhalants can cause instant death.

inhalants
tranquilizers

TRANQUILIZERS:

Tranquilizers are commonly known as depressants as they slow down the central nervous system. Users are normally drowsy and less alert, both of which are dangerous while driving. Tranquilizers cause slower reaction times, impaired coordination, hinder judgment and affect a driver’s vision. The effects of tranquilizers can last up to 14 hours. Valium, Librium, and Miltown are some common tranquilizers.

A person using barbiturates will act like they have been consuming alcohol. This is because barbiturates are a depressant drug like alcohol. Barbiturates slow down the central nervous system. Many people take barbiturates to calm themselves down. Barbiturates tend to hinder thinking ability, affect emotions and can cause blurred vision.

Barbiturates have an effect on a driver’s ability to remain alert and be attentive. Just like alcohol, barbiturates can affect a driver’s coordination and reaction time.

NARCOTICS:

Morphine, opium, and heroin are all types of narcotics. They are derived from the Oriental poppy plant. Narcotics depress the central nervous system and seriously impair a person’s ability to operate a motor vehicle. A driver using narcotics will normally become incoherent and dizzy.

Users tend to experience nausea and vomiting. Narcotics will usually cause confusion, drowsiness and slowed reaction times.

narcotics
club drugs

CLUB DRUGS:

Club drugs are normally synthetic copies of other drugs. They are also called designer drugs. Illegal drug chemists change the chemical structure of drugs in their attempt to get around the restrictions of the drug laws.

Club drugs are usually hundreds of times stronger than the drug they are copying. The use of club drugs can cause uncontrollable tremors, impaired speech, paralysis, brain damage, nausea, blurred vision, and memory loss. The memory loss condition is why these drugs are sometimes called, “Date Rape Drugs.” Club drugs greatly impair a person’s ability to drive.

Some common names of club drugs are china white, MPTD, MPPP, MDMA (also known as Ecstasy or XTC), Adam, Essence, MDM, STP, PMA, Eve, PCP, and Roofies.

Resource: www.noda.nih.gov

The Beginning of Impairment
Drivers need to realize that impairment begins with the very first intake of alcohol or another drug and affects an individual’s ability to safety operate a vehicle.

It is important to understand alcohol impairment begins long before a person reaches the level considered by Florida state statues to be under the influence to the extent that a person’s normal faculties are impaired. With alcohol as the consumption continues, the ability to safety operate a vehicle decreases dramatically.

Since judgment is the first thing affected by alcohol an individual may continue to drink and then take risks they might not take if they were not impaired.

beginning of impairment

Due to their impairment a driver may speed or follow another vehicle too closely. As a result of impairment the driver’s vision may be impaired and they may run red lights or not stop for stop signs. In the event of an emergency situation an impaired driver may not be able to react in time to avoid a collision. Because alcohol is a depressant a driver may actually fall asleep at the wheel and become involved in a very serious collision. Impairment by others drugs will likely cause immediate impairment and can have a dramatic effect on driving ability, so a driver should never mix alcohol with any type of other drugs.

Blood Alcohol Content (BAC)

BAC or Blood Alcohol Concentration is a weight of alcohol per volume of blood or breath.

The American Medical Association has defined the blood alcohol concentration of impairment for all people to be 0.04 grams/100 liters of blood (equivalent to .04 grams/210 liters of breath).

Levels of Impairment

0.02-0.03 BAC No loss of coordination, slight euphoria and loss of shyness. Depressant effects are not apparent, mildly relaxed and maybe a little lightheaded.
0.04-0.06 BAC Feeling of well-being, relaxation, lower inhibitions, with a sensation of warmth. There may be euphoria with impairment of reasoning and memory and lowering of caution. A person’s behavior may become exaggerated and emotions intensified with good emotions being better and bad emotions becoming worse.
0.07-0.09 BAC Impairment of balance, speech, vision, reaction time, and hearing begin. Judgment and self-control are reduced, and caution, reason and memory are impaired, at .08 BAC. In the United States and in the State of Florida, .08 BAC is the presumptive BAC limit at which an individual is presumed to be impaired. You will probably believe that you are functioning better than you really are.
0.10-0.125 BAC Significant impairment of motor coordination and loss of reasonable judgment. Speech may be slurred; balance, vision, reaction time and hearing will be impaired.
0.13-0.15 BAC Gross motor impairment and lack of physical control. There will be blurred vision with major loss of balance. Euphoria is reduced and dysphoria (anxiety, restlessness, depression) begin to appear. Judgment and perception are severely impaired and the individual will become disoriented.
0.16-0.19 BAC Dysphoria predominates, nausea may appear. The impaired individual has the appearance of being impaired. Vision, motor skills, & judgment are further impaired.
0.20 BAC Feeling dazed, confused or otherwise disoriented a person may need help standing or walking. If they are injured they may not feel the pain. Some people experience nausea and vomiting at this level. The gag reflex is impaired and the individual can choke on their own vomit. Blackouts are likely at this level so the person may not remember what has happened.
0.25 BAC All mental, physical and sensory functions are severely impaired. There is an increased risk of asphyxiation from choking on vomit and of serious injury by falls or other mishaps. A person’s comprehension will be greatly reduced.
0.30 BAC At this level a person will be in a stupor. They have little comprehension of where they are. They may pass out suddenly and be difficult to awaken.
0.35 BAC This is the level of surgical anesthesia. Coma is possible.
0.40 BAC and up Onset of coma, and possible death due to respiratory arrest.

Resource: http://en.wikipedia.org/wiki/Blood_alcohol_content



THE IMPAIRED DRIVER

Have you wondered why we have discussed alcohol and drug impairment when you may have never driven while impaired and never plan on doing so? Well, we want to make sure you understand the serious nature of driving under the influence. Even if you never drive after consuming alcohol or other drugs, there are people who do. It is important therefore to be aware of some of the possible signs a driver may be impaired. From the list below, click of the signs you think could possibly mean a driver is impaired.

  • Either driving too slow or too fast for conditions;
  • Driving with a window open in the cold or rain;
  • Turning too wide or too short;
  • Passing extremely close to objects;
  • Using the white lines on the road as a guide;
  • Weaving in and out of traffic lanes;
  • Failing to turn on the vehicle headlights or not using the vehicle turn signals;
  • Tailgating;
  • Stopping too short of or across intersection stop lines;
  • Failing to stop for red lights or not starting when a light turns green.
impaired driver

Resource: http://www.attorneyandlawguide.com/dui/drunk_driving_signs.php , http://www.old-colony.com/howto.htm


ALTERNATIVES TO DRIVING IMPAIRED:

The best alternative is to never consume alcohol and/or other drugs and then drive. The second best alternative is to never get into a vehicle with a driver who has consumed any amount of alcohol. Even one standard drink can impair a person’s ability to drive.

drink and drive routes
  • Use a designated driver; however, be positive the person does not consume any amount of alcohol or use any kind of drug. If you observe the designated driver consuming alcohol, find another alternative;
  • If you must consume alcohol do so at home and do not leave the premises;
  • Plan to spend the night where alcohol is being served. If at a party at a hotel, reserve a guest room for the night;
  • Call a friend or family member for a ride;
  • Call a taxi. One good method to use is to take a taxi to the desired destination. Then when you go to leave there is no vehicle available. Remember, judgment is the first thing affected by alcohol;
  • Use public transportation if it is available within a short distance and you are able to walk;
  • Never consume alcohol.

Resource: http://www.tylerflood.com/drinking-and-driving-alternatives.html , http://www2.potsdam.edu/hansondj/PreventingDrunkDriving.html



 

CHAPTER FIVE QUIZ

Q1

Judgment is the first thing affected by alcohol consumption.

True
False

Q2

Cocaine is derived from the ______ plant.

rose
tulip
poppy
coca

Q3

Alcohol is a stimulant drug.

True
False

Q4

Morphine, opium, and heroin are all types of narcotics.

True
False